title: The effect of physician--parent discussions and a brief intervention on caregivers' plan to discipline: is it time for a new approach?
abstract: Consecutive English- or Spanish-speaking caregivers of 1- to 5-year-old children were randomized to view a multimedia program (approximately 5-10 minutes) in a pediatric primary care clinic. After the clinic visit, 258/259 caregivers participated in a brief personal interview. In the multivariate logistic model, caregivers were more likely to have been assisted in their plans to discipline if they had had a discussion about discipline with their physician (odds ratio [OR] = 4.93; 95% confidence interval [CI] = 1.08-22.46), viewed the multimedia program (OR = 259.29; 95% CI = 56.56-1188.61), or viewed the multimedia program and had had a discussion with their physician (OR = 507.05; 95% CI = 86.81-2961.45) than if they had had no discussion and had not viewed the multimedia program. In addition to face-to-face discussions, routinely viewed educational material may help teach caregivers about discipline. The results have implications for improving primary care services, child abuse prevention, and violence prevention.
authors.affiliation: Vanderbilt University School of Medicine and the Monroe Carell Jr Children's Hospital at Vanderbilt, Nashville, TN, USA. Seth.Scholer@Vanderbilt.edu
authors.forename: Seth J
authors.initials: SJ
authors.lastname: Scholer
authors.forename: Julia
authors.initials: J
authors.lastname: Hudnut-Beumler
authors.forename: Mary S
authors.initials: MS
authors.lastname: Dietrich
mesh_terms: D017028:Caregivers; D002649:Child Abuse / Q000517:prevention & control; D002652:Child Behavior; D002668:Child Rearing; D002675:Child, Preschool; D003376:Counseling; D005260:Female; D006801:Humans; D007223:Infant; D007398:Interpersonal Relations; D016015:Logistic Models; D008297:Male